Online Mental Health Survey in a Medical College in China During the COVID-19 Outbreak

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2020 Jun 24

PMID 32574242

Citations 85

Authors

Jia Liu

Qing Zhu

Wenliang Fan

Joyman Makamure

Chuansheng Zheng

Jing Wang

Affiliations

Soon will be listed here.

Abstract

Background: The outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, Hubei province, has led to the quarantine of many residents in their homes, in order to mitigate its spread. Some of these people developed mental health problems, and many solutions have been put in place to address the mental health issues of patients and health professionals affected by the disease. However, not much attention has been given to students, particularly those from medical school. The present study aims to conduct an online survey to investigate the mental health status of students from a medical college in Hubei province.

Materials And Methods: The WeChat-based survey program Questionnaire Star, which contained questions from Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), was utilized for the present study.

Results: A total of 217 students participated in the survey. Among these students, 127 were female and 90 were male. Furthermore, 77 students (35.5%) who participated in the survey were in a state of depression, and 48 (22.1%) were in a state of anxiety. The majority of students who were in depressed (n=75) or anxiety (n=46) states had mild or moderate states. There were no significant differences in students in terms of gender, geographical location, and grade, for the prevalence of depression and anxiety.

Conclusion: The present study implies that universities need to take measures to prevent, identify, and deal with mental health problems among students during large-scale stressors.

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References

Levis B, Benedetti A, Thombs B . Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ. 2019; 365:l1476. PMC: 6454318. DOI: 10.1136/bmj.l1476. View

Cheng C, Tang C . The psychology behind the masks: Psychological responses to the severe acute respiratory syndrome outbreak in different regions. Asian J Soc Psychol. 2020; 7(1):3-7. PMC: 7159619. DOI: 10.1111/j.1467-839X.2004.00130.x. View

Main A, Zhou Q, Ma Y, Luecken L, Liu X . Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic. J Couns Psychol. 2011; 58(3):410-23. DOI: 10.1037/a0023632. View

Jeong H, Yim H, Song Y, Ki M, Min J, Cho J . Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health. 2017; 38:e2016048. PMC: 5177805. DOI: 10.4178/epih.e2016048. View

Kendler K, Karkowski L, Prescott C . Stressful life events and major depression: risk period, long-term contextual threat, and diagnostic specificity. J Nerv Ment Dis. 1998; 186(11):661-9. DOI: 10.1097/00005053-199811000-00001. View

Velavan T, Meyer C . The COVID-19 epidemic. Trop Med Int Health. 2020; 25(3):278-280. PMC: 7169770. DOI: 10.1111/tmi.13383. View

Adams R, Boscarino J, Galea S . Social and psychological resources and health outcomes after the World Trade Center disaster. Soc Sci Med. 2005; 62(1):176-88. PMC: 1479769. DOI: 10.1016/j.socscimed.2005.05.008. View

Borghero F, Martinez V, Zitko P, Vohringer P, Cavada G, Rojas G . [Screening depressive episodes in adolescents. Validation of the Patient Health Questionnaire-9 (PHQ-9)]. Rev Med Chil. 2018; 146(4):479-486. DOI: 10.4067/s0034-98872018000400479. View

Leppin A, Aro A . Risk perceptions related to SARS and avian influenza: theoretical foundations of current empirical research. Int J Behav Med. 2009; 16(1):7-29. PMC: 7090865. DOI: 10.1007/s12529-008-9002-8. View

10.

Kroenke K, Spitzer R, Williams J . The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9):606-13. PMC: 1495268. DOI: 10.1046/j.1525-1497.2001.016009606.x. View

11.

Ransing R, Adiukwu F, Pereira-Sanchez V, Ramalho R, Orsolini L, Schuh Teixeira A . Mental Health Interventions during the COVID-19 Pandemic: A Conceptual Framework by Early Career Psychiatrists. Asian J Psychiatr. 2020; 51:102085. PMC: 7195073. DOI: 10.1016/j.ajp.2020.102085. View

12.

Liu S, Yang L, Zhang C, Xiang Y, Liu Z, Hu S . Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020; 7(4):e17-e18. PMC: 7129099. DOI: 10.1016/S2215-0366(20)30077-8. View

13.

Spitzer R, Kroenke K, Williams J . Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999; 282(18):1737-44. DOI: 10.1001/jama.282.18.1737. View

14.

Yehuda R . Current status of cortisol findings in post-traumatic stress disorder. Psychiatr Clin North Am. 2002; 25(2):341-68, vii. DOI: 10.1016/s0193-953x(02)00002-3. View

15.

DeLongis A, Folkman S, Lazarus R . The impact of daily stress on health and mood: psychological and social resources as mediators. J Pers Soc Psychol. 1988; 54(3):486-95. DOI: 10.1037//0022-3514.54.3.486. View